| NPI | 1851845820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD ALAN HILER CEO 239-659-2669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 111N00000X Chiropractor |
| 363LA2200X Nurse Practitioner, Adult Health | |
| Enumeration Date | 2016-08-08 |
| Last Update Date | 2020-05-08 |